BOBBY SHAW MD LLC SOS Flagged
2930 SIENA HEIGHTS DR, HENDERSON, NV 89052
NPI Number
1992349369
Practice location · View on Google Maps
SOS Verification: Questionable
Entity Name: BOBBY SHAW MD LLC
Entity Number: E0226072019-4
Entity Type: Domestic Limited-Liability Company
Entity Status: Revoked
Formation Date: 2019-05-14
Status Changed: 2025-06-01
Name Match: 95%
SOS Status: Revoked
Registered Agent
Name: PRIYA BRATA SHAW
Type: Non-Commercial Registered Agent
Address: 3055 SAINT ROSE PKWY #777905, HENDERSON, NV, 89052
Mailing: PO BOX 777905, HENDERSON, NV, 89077-7905
Research Report
Entity revoked. Manager: Priya Brata Shaw MD (board-certified family practice, St. Rose Dominican-Siena). Practice at 2930 Siena Heights Dr, Henderson. Also lists Dr. Ajeet Mahendernath. Relationship between LLC name Bobby Shaw and managing physician Priya Brata Shaw unclear. Entity revoked but directory listings still active.
Needs Manual Review
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | PRIYA BRATA SHAW | 3055 SAINT ROSE PKWY #777905, HENDERSON, NV, 89052-9998 | Active |
Total Medicaid Payments
$1,763
-99% vs specialty average
Patients Seen
16
Total Claims
52
$ Per Patient
$110
Specialty avg: $54
Specialty Rank
#348 of 420
Family Medicine providers in Nevada
Peer Average
$314,431
Average total for Family Medicine
Claims per Patient
3.2
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2020 | $1,763 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99232 | Hospital care — daily check by your doctor (moderate update) | 52 | $1,763 | 100.0% | $34 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.